Pilot trial of an expressive writing intervention with HIV-positive methamphetamine-using men who have sex with men.pdf (318.31 kB)
Pilot trial of an expressive writing intervention with HIV-positive methamphetamine-using men who have sex with men.
journal contributionposted on 2021-05-19, 00:44 authored by Adam W Carrico, Austin Nation, Walter Gómez, Jeffrey Sundberg, Samantha E Dilworth, Mallory O Johnson, Judith T Moskowitz, Carol Dawson Rose
Among men who have sex with men (MSM), the co-occurrence of trauma and stimulant use has negative implications for HIV/AIDS prevention. HIV-positive, methamphetamine-using MSM were recruited to pilot test a 7-session, multicomponent resilient affective processing (RAP) intervention that included expressive writing exercises targeting HIV-related traumatic stress. An open-phase pilot with 10 participants provided support for feasibility of intervention delivery such that 99% of the RAP sessions were completed in a 1-month period. Subsequently, 23 additional participants were enrolled in a pilot randomized controlled trial of the RAP intervention (n = 12) versus an attention-control condition that included writing exercises about neutral topics (n = 11). Acceptability was evidenced by participants randomized to RAP expressing significantly more negative emotions in their writing and reporting greater likelihood of recommending expressive writing exercises to a friend living with HIV. Over the 3-month follow-up period, attention-control participants reported significant decreases in HIV-related traumatic stress while RAP intervention participants reported no significant changes. Compared to attention-control participants, those in the RAP intervention reported significant reductions in the frequency of methamphetamine use immediately following the 1-month RAP intervention period. Thematic analyses of RAP expressive writing exercises revealed that multiple negative life events characterized by social stigma or loss contribute to the complex nature of HIV-related traumatic stress. Findings support the feasibility and acceptability of an exposure-based intervention targeting HIV-related traumatic stress. However, more intensive intervention approaches that simultaneously target trauma and stimulant use will likely be needed to optimize HIV/AIDS prevention efforts with this population.
CitationCarrico, A. W., Nation, A., Gómez, W., Sundberg, J., Dilworth, S. E., Johnson, M. O., Moskowitz, J. T.Rose, C. D. (n.d.). Pilot trial of an expressive writing intervention with HIV-positive methamphetamine-using men who have sex with men. Psychology of Addictive Behaviors, 29(2), 277-282. https://doi.org/10.1037/adb0000031
PublisherAmerican Psychological Association (APA)